Doctor profile · Federal record

Dr. Jacob Demelle, PA-C

Physician Assistant · Green Bay, WI

  • NPI 1558522664
  • Accepts Medicare
  • MIPS 92.6 / 100 · 2023
  • 18 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1821 S Webster Ave
Green Bay, WI 543012253
(920) 496-4700
Mailing address
Po Box 19070
Green Bay, WI 543079070

Credentials & registration

NPPES · NUCC
NPI registered
June 2008 — 18 yrs on file
Profile last updated
October 11, 2022
Year of graduation
2008 — 18 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Wisconsin #2269

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1558522664. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
209
Distinct HCPCS
4
Medicare allowed
$6,886
HCPCS Description Services Patients Avg allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 113 19 $1
99213 Established patient office or other outpatient visit, 20-29 minutes 48 36 $73
20610 Aspiration and/or injection of fluid from large joint 33 24 $57
99203 New patient office or other outpatient visit, 30-44 minutes 15 15 $90

In context: peer comparison

Among 67 peers in Green Bay Physician Assistant, average services per provider: 85. This provider delivers 2.5× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$24
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ethicon US, LLC 1 $24.02

By nature of payment

Food and Beverage
$24

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
137
Patients
74
Total drug cost
$1,385
Drug Type Claims Patients Total cost
Meloxicam Generic 37 31 $162
Tramadol Hcl Generic 21 20 $67
Oxycodone Hcl Generic 16 12 $65
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 14 11 $122
Atorvastatin Calcium Generic 13 0 $287
Carvedilol Generic 12 0 $219
Chlorthalidone Generic 12 0 $195
Losartan Potassium Generic 12 0 $267

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacob Demelle's medical specialty?
Dr. Jacob Demelle practices Physician Assistant in Green Bay, WI.
Where does Dr. Jacob Demelle practice?
Dr. Jacob Demelle practices at 1821 S Webster Ave, Green Bay, WI 543012253. Office phone: 9204964700.
What is Dr. Jacob Demelle's NPI?
Dr. Jacob Demelle's National Provider Identifier (NPI) is 1558522664, issued by NPPES.
Does Dr. Jacob Demelle accept Medicare assignment?
Yes. Dr. Jacob Demelle accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Demelle commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.